JACKSON HAND AND UPPER EXTREMITY; NPI #1154753986

Contact Information

JACKSON HAND AND UPPER EXTREMITY

1904 LAKELAND DR
SUITE D
JACKSON, MS 39216-5038

Phone: 601-942-2709
Fax: 601-944-9780
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hand	225XH1200X	67	Occupational Therapist in Private Practice
Physical Therapist	225100000X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for JACKSON HAND AND UPPER EXTREMITY

NPI Number 1154753986

LBN Legal business name JACKSON HAND AND UPPER EXTREMITY

Authorized official ROBYN ROBERTS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/02/2013

Last updated 07/08/2014 - About 12 years ago

Identifiers

MS	License #	45OT073
MS	License #	PT0987

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JACKSON HAND AND UPPER EXTREMITY

Contact Information

Specialty

Hand

Physical Therapist

NPI Profile & details for JACKSON HAND AND UPPER EXTREMITY

Reviews for JACKSON HAND AND UPPER EXTREMITY